Individual provider · Type 1 NPI
Michael S. La Rue, PA-C
Medical Physician Assistant · Low Moor, VA
NPI number
1972508059
Active
Practice location
Partricia W Henderson Do Pc, 1 Arh Lane, Ste 800
Low Moor, VA 24457
Fax (540) 862-3742
Mailing address
PO Box 629
Clifton Forge, VA 24422-0629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 0110001381 (VA) |
Medical Physician Assistant: Definition to come...
Another provider at this address
Other medical physician assistant providers in Low Moor
About NPI 1972508059
Michael S. La Rue, PA-C's National Provider Identifier is 1972508059, issued on Jun 16, 2005. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Low Moor, VA. The record was last updated on Aug 12, 2008.